<form id="add-form" class="form-horizontal form-ajax" role="form" data-toggle="validator" method="POST" action="">
    {:token()}
    <div class="form-group">
        <label for="c-type" class="control-label col-xs-12 col-sm-2">支付方式:</label>
        <div class="col-xs-12 col-sm-8">
            <select id="out_type"  class="form-control selectpicker" name="row[out_type]">
                <option value="1">支付宝</option>
                <option value="2">银行卡</option>
            </select>
        </div>
    </div>
    <div class="form-group">
        <label for="c-type" class="control-label col-xs-12 col-sm-2">姓名:</label>
        <div class="col-xs-12 col-sm-8">
            <input type="text" class="form-control" id="username" name="row[username]" value="" data-rule="required" />
        </div>
    </div>
    <div class="form-group">
        <label for="c-type" class="control-label col-xs-12 col-sm-2">身份证:</label>
        <div class="col-xs-12 col-sm-8">
            <input type="text" class="form-control" id="idcard" name="row[idcard]" value="" data-rule="required" />
        </div>
    </div>
    <div class="form-group">
        <label for="c-type" class="control-label col-xs-12 col-sm-2">银行名称:</label>
        <div class="col-xs-12 col-sm-8">
            <input type="text" class="form-control" id="bank_name" name="row[bank_name]" placeholder="银行名称(支付提现可为空)" value="" />
        </div>
    </div>
    <div class="form-group">
        <label for="c-type" class="control-label col-xs-12 col-sm-2">账号(支付宝/银行):</label>
        <div class="col-xs-12 col-sm-8">
            <input type="text" class="form-control" id="payment" name="row[payment]" value="" data-rule="required" />
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
